Appeals Specialist jobs in Houston, TX

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Medical Compliance Auditor - The Health Plan
Perform Clinical and Coding Review on Medical Claim Appeals. Currently, the Health Plan has more than 375,000 members who receive care from our network of more...
Dental Billing Specialist (#10899310)
DECA Dental - 6 reviews - Kingwood, TX 77325
Dental Billing Specialist*. Appeal non-paid procedures by either calling or sending a narrative. DECA Dental Group the largest privately held Dental company in...
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Accounts Receivable Specialist
Create appeal letters with managers approval. Conduct monthly follow up on unresolved appeals. Must be familiar with insurance appeal and dispute processes....
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Call Center Representative - The Health Plan

Texas Children's Hospital - 526 reviews - Bellaire, TX
This position will assist and advocate for members and/or providers throughout the complaint and appeal process and assist members with timely appointment...

Reimbursement Specialist

The Care Group - 19 reviews - Houston, TX 77054 (Medical area)
$250 a week
Send and follow up on all appeals within 30 days. Work all EOB’s and correspondence within 30 days of receipt....
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Payor Credentialing Revalidation Specialist

Radiology Partners - 8 reviews - Houston, TX 77040
Work with internal billing team and vendor to share approvals and work through denials and appeal process,....

EMS Collections Specialist

Round Table Medical Consultants - Houston, TX 77077 (West Houston area)
Proven experience administering appeals in a high-volume claims environment. Appeal, resolve, and research unpaid insurance claims while identifying trends or...
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AR Specialist

Sacred Oak Medical Center - 6 reviews - Houston, TX
Proven experience as billing specialist. Appeal and/or resubmit denied or rejected insurance claims. Sacred Oak Medical Center is seeking a full time AR...
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Coding Specialist III

Houston Methodist - 1,023 reviews - Houston, TX
Investigate and appeal unpaid and partially paid claims by third party payers. Applies correct coding conventions to patient charge encounters in a clinical...

Medical A/R Specialist

Change Healthcare - 364 reviews - Houston, TX
Must be familiar with appeals for medical necessity, authorization, and credentialing/provider enrollment issues....

Medicare Collections Specialist

Christus Health - 1,351 reviews - Houston, TX 77008 (Greater Heights area)
Thorough understanding of Medicare/Medicaid guidelines and procedures for billing, collections and appeals. Utilizes a strong background as a medical collection...

Collections Specialist - Houston, TX

Cenikor Foundation - 73 reviews - Houston, TX 77079 (West Houston area)
Escalate appeals to all available insurance companies. Appeal and resolve outstanding claims resulting from denials, wrong insurance, etc.;...
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Medical Reimbursement Specialist

ABS, LLC - Houston, TX 77070
Aggressive A/R accounts disputes, call insurance for claim status & appeals. We are seeking a contract full-time Out of Network Insurance Collector Specialist...
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Refund Specialist
Altus Infusion - Pearland, TX
$33,000 - $36,000 a year
Knowledge of payer appeal deadlines, how to read explanation of benefits, Medical Terminology, Medical Billing and Coding, and Revenue Cycle are required....
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Teaching Assistant/Classroom Support Specialist-Part Time
Elevate K-12 - 20 reviews - Missouri City, TX
Does impacting K-12 students educational outcomes appeal to you? Does making an impact in the classroom appeal to you?...
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